倒T字形隔药灸治疗盆腔炎性疾病后遗症慢性盆腔痛疗效观察

Clinical observation on inverted T-shaped herb-separated moxibustion for chronic pelvic pain in sequelae of pelvic inflammatory diseases

目的:比较倒T字形隔药灸联合西药与单纯西药治疗盆腔炎性疾病后遗症慢性盆腔痛(CPP)的临床疗效。方法:将60例盆腔炎性疾病后遗症CPP患者随机分为观察组和对照组,每组30例。对照组于月经来潮前10天开始给予布洛芬片,每次口服0.2 g,每日1次,连续服用10 d,月经来潮后停止服用药物,连续治疗3个月经周期。观察组在对照组西药治疗基础上,于中脘至中极穴连线以及两侧子宫穴的连线行倒T字形隔药灸治疗,每周治疗1次,间隔6 d,月经期停灸,治疗3个月经周期。观察两组患者治疗前后下腹部及腰骶部疼痛视觉模拟量表(VAS)评分、局部症状(子宫压痛、附件区压痛、宫骶韧带触痛)评分、生活质量量表评分。结果:治疗后,两组患者下腹部及腰骶部疼痛VAS评分,子宫压痛、附件区压痛、宫骶韧带触痛局部症状评分及总分较治疗前降低(P<0.01);观察组患者下腹部及腰骶部疼痛VAS评分低于对照组(P<0.01),子宫压痛、附件区压痛、宫骶韧带触痛局部症状评分及总分降低幅度大于对照组(P<0.01)。治疗后,两组患者生活质量量表评分较治疗前升高(P<0.01),观察组高于对照组(P<0.01)。结论:倒T字形隔药灸联合西药治疗可有效减轻盆腔炎性疾病后遗症CPP患者的疼痛,缓解患者的局部症状,提高患者生存质量,疗效优于单纯西药治疗。

Objective To compare the clinical effect between inverted T-shaped herb-separated moxibustion combined with western medication and simple western medication on chronic pelvic pain(CPP)in sequelae of pelvic inflammatory diseases.Methods A total of 60 patients with CPP in sequelae of pelvic inflammatory diseases were randomly divided into an observation group and a control group,30 cases in each group. The control group was given ibuprofen tablets 10 days before menstruation, 0.2 g each time,once a day for 10 days. After menstruation, the medication was stopped, and the treatment was given for 3 menstrual cycles.On the basis of the treatment in the control group, the observation group was treated with inverted T-shaped herb-separated moxibustion at the connection between Zhongwan(CV 12)and Zhongji(CV 3),and the connection between Zigong(EX-CA 1)on both sides.The treatment was performed once a week, with an interval of 6days. The moxibustion was stopped during the menstrual period,the treatment was given for 3 menstrual cycles.Before and after treatment, the visual analogue scale(VAS)score of lower abdominal and lumbosacral pain, local symptom(uterine tenderness, adnexal tenderness and uterosacral ligament tenderness) score and quality of life assessment(QOL) score of the two groups were observed. Results After treatment,the lower abdominal and lumbosacral pain VAS scores,the local symptom scores of uterine tenderness,adnexal tenderness, uterosacral ligament tenderness and total scores in the two groups were lower than those before treatment(P<0.01).The lower abdominal and lumbosacral pain VAS score in the observation group was lower than that in the control group(P<0.01),and the changes of local symptom scores of uterine tenderness, adnexal tenderness and uterosacral ligament tenderness and total score in the observation group were greater than those in the control group(P<0.01). After treatment,the QOL scores of the two groups were higher than those before treatment(P<0.01),and the score in the observation group was higher than that in the control group(P<0.01). Conclusion Inverted T-shaped herb-separated moxibustion combined with western medication can effectively reduce the pain in patients with CPP in sequelae of pelvic inflammatory diseases,relieve the local symptoms,improve the quality of life, and the curative effect is better than western medication alone.